Greffe d'intesin grele en Suisse

Indications et receveurs potentiels

Translated title of the contribution: Small bowel transplantation in Switzerland: Indications and potential recipients

L. Bühler, P. Charbonnet, P. Majno, Zakiyah Kadry, C. Pichard, E. Giostra, G. Mentha, P. Morel

Research output: Contribution to journalArticle

2 Citations (Scopus)

Abstract

Small bowel transplantation is theoretically the best treatment for patients with short bowel syndrome and receiving total parenteral nutrition (TPN). The aim of our study was to determine the number of potential candidates for small bowel transplantation in Switzerland. We analyzed the clinical parameters of patients treated by TPN for short bowel syndrome obtained from university pediatric clinics, the SVK (Schweizerischer Verband fur Gemeinschaftsaufgaben der Krankenkassen) and referring physicians. In 1995, 7 adults and 2 children were under TPN for short bowel syndrome. In the adult group (mean age 57), the causes of short bowel syndrome were 3 cases of mesenteric infarct, 2 cases of mechanical ileus, one Gardner syndrome and one inflammatory bowel disease. In the pediatric group, the causes of intestinal insufficiency were in one chronic enteropathy with malabsorption and in one congenital malformation. The average duration of TPN was 4.4 (1-10) years for the adults and 13 months for the children. The various complications related to TPN were repeated catheter sepsis in 5 patients, 2 cases of catheter thrombotic occlusion and 3 cases of cholestatic hepatopathy. The contraindications to small bowel transplantation were age, a history of malignant tumor, pulmonary hypertension and a psychiatric disorder. 4 patients were considered potential candidates for transplantation: 2 adults and 2 children, corresponding to an incidence of 0.5/million inhabitants. Considering that the prevalence and incidence of short bowel syndrome in Switzerland are comparable to those in other western countries, we think it should be possible to initiate a small bowel transplantation program in Switzerland.

Original languageFrench
JournalSchweizerische Medizinische Wochenschrift
Volume127
Issue numberSUPPL. 89
StatePublished - Jul 14 1997

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Short Bowel Syndrome
Total Parenteral Nutrition
Switzerland
Transplantation
Catheters
Gardner Syndrome
Pediatrics
Ileus
Incidence
Inflammatory Bowel Diseases
Pulmonary Hypertension
Psychiatry
Sepsis
Age Groups
Physicians
Neoplasms

All Science Journal Classification (ASJC) codes

  • Medicine(all)

Cite this

Bühler, L., Charbonnet, P., Majno, P., Kadry, Z., Pichard, C., Giostra, E., ... Morel, P. (1997). Greffe d'intesin grele en Suisse: Indications et receveurs potentiels. Schweizerische Medizinische Wochenschrift, 127(SUPPL. 89).
Bühler, L. ; Charbonnet, P. ; Majno, P. ; Kadry, Zakiyah ; Pichard, C. ; Giostra, E. ; Mentha, G. ; Morel, P. / Greffe d'intesin grele en Suisse : Indications et receveurs potentiels. In: Schweizerische Medizinische Wochenschrift. 1997 ; Vol. 127, No. SUPPL. 89.
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Bühler, L, Charbonnet, P, Majno, P, Kadry, Z, Pichard, C, Giostra, E, Mentha, G & Morel, P 1997, 'Greffe d'intesin grele en Suisse: Indications et receveurs potentiels', Schweizerische Medizinische Wochenschrift, vol. 127, no. SUPPL. 89.

Greffe d'intesin grele en Suisse : Indications et receveurs potentiels. / Bühler, L.; Charbonnet, P.; Majno, P.; Kadry, Zakiyah; Pichard, C.; Giostra, E.; Mentha, G.; Morel, P.

In: Schweizerische Medizinische Wochenschrift, Vol. 127, No. SUPPL. 89, 14.07.1997.

Research output: Contribution to journalArticle

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T1 - Greffe d'intesin grele en Suisse

T2 - Indications et receveurs potentiels

AU - Bühler, L.

AU - Charbonnet, P.

AU - Majno, P.

AU - Kadry, Zakiyah

AU - Pichard, C.

AU - Giostra, E.

AU - Mentha, G.

AU - Morel, P.

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Bühler L, Charbonnet P, Majno P, Kadry Z, Pichard C, Giostra E et al. Greffe d'intesin grele en Suisse: Indications et receveurs potentiels. Schweizerische Medizinische Wochenschrift. 1997 Jul 14;127(SUPPL. 89).